TITLE:
Surgical Closure of Coronary Cameral Fistula Draining into the Left Ventricle via a “Fistula Lake”
AUTHORS:
Yuchen Cao, Masaaki Koide, Yoshifumi Kunii, Minori Tateishi, Kazumasa Watanabe, Satoshi Okugi, Yosuke Sakurai, Risa Shimbori
KEYWORDS:
Coronary Cameral Fistula, Fistula Lake, Surgical Repair
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.10 No.8,
August
17,
2020
ABSTRACT: A left-sided lesion of a coronary cameral fistula (CCF) is extremely rare. Surgical closure of the fistula is indicated when symptoms emerge or as a preventive strategy, while surgical approaches depend on the individual anatomical structures. In particular, a CCF forming a “fistula lake” with multiple inflow vessels is so unique that few studies have focused on the technique to close it. We report the successful management of a CCF originating from multiple coronary arteries and draining into the left ventricle via a “fistula lake” by ligation and clipping of associated communication tracts. On the postoperative coronary computed tomography angiography, the fistula lake and the small vessels entering it had all disappeared.